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Wisconsin rates for HCPCS 73564

Radiologic examination, knee; complete, 4 or more views

Facilitymedian $251 · 10th–90th $23$6170%5%10%10th90th$251Professionalmedian $58 · 10th–90th $14$2290%5%10th90th$58$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.85 / $23.44 / $371.54
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $309.03 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $74.13 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $26.92 / $107.15
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$45.71 / $181.97 / $707.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $58.88 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $69.18 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $16.60 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$66.07 / $104.71 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $52.48 / $173.78
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $43.65 / $57.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $33.88 / $53.70
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $117.49 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $128.82 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $28.84 / $45.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $100.00 / $147.91
DeanCare
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $269.15 / $354.81
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $102.33 / $141.25
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $24.55 / $33.88
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$131.83 / $154.88 / $213.80
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $79.43 / $109.65
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $251.19
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $478.63 / $691.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $100.00 / $302.00
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $35.48 / $104.71
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $58.88 / $229.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $87.10 / $186.21
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $25.12 / $40.74
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $61.66 / $141.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $125.89 / $173.78
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $229.09 / $229.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $208.93 / $295.12
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $56.23 / $87.10
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $154.88 / $229.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $245.47 / $295.12
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $31.62 / $64.57
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $60.26 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $95.50 / $331.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $70.79 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $64.57 / $245.47